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8000 Weston Parkway
Cary, NC 27513
(919) 677-0561
1-800-662-7407
ncba@ncbar.org

Home › Donate › Online Contribution Form

Online Contribution Form

In North Carolina, one in six people now live in poverty. Of those who qualify to receive legal services from Legal Aid of North Carolina (LANC), three of four must be turned away because LANC lacks the resources to help. Sadly, one third of cases involve vulnerable children and spouses.

The North Carolina Bar Association, in keeping with its longstanding support of LANC, wants to improve these numbers dramatically. To that end, the Board of Governors has established a special NCBA Foundation Endowment fund — the LANC Fund.

To build the long term financial viability of Legal Aid of North Carolina, please fill in each field as complete as possible. Items with a required field are required. This form will not be delivered until all required fields are complete. Existing members click here to pre-populate your application with your existing member information.

You may also download the Gift/Pledge application and either mail or fax it in as well.

Contribution Amount

Make your LANC Fund contribution:required field
Suggested amount - the value of one day's pay.
Please note: Must be a dollar value (without $; example: 150.00)

Additional gift levels:




Contributor Information
First Name:required field
Last Name:required field  
Firm/Organization: 
NCBA #: 
Street Address:required field
City:required field
State:required field
Zip Code:required field
Phone Number:required field
Email Address: 


Credit Card Information
Name on Credit Card:required field
Street Address:required field
City:required field
State:required field
Zip Code:required field
Country:required field
Card Type:required field
Expiration Month:required field
Expiration Year:required field
Card Number:required field
Card Security Code:required field
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